N153: Fundamentals Quiz 1 With Complete Questions
And Correct Answers
To use the nursing process correctly, the nurse must first
A. identify the goals for the client's care.
B. obtain information about the client.
C. state the client's nursing care needs.
D. evaluate the effectiveness of the client's care. - ANSWER B. obtain information about
the client.
The scientific application of nursing, the nursing process, is based on the scientific
process. The first step in the scientific process is the collection of data; therefore, the
first step in the nursing process is assessment.
A 3 year old child has had multiple tooth extractions while under general anesthesia.
The client returns from the postanesthesia care crying, but awake, from the recovery
room. Which approach is likely to be successful?
A. Do not examine the mouth.
B. Examine the mouth first.
C. Examine the mouth last.
D. Medicate the child for pain before examining the mouth. - ANSWER C. Examine the
mouth last.
It is always appropriate to leave the most distressing part of a physical examination of a
toddler until the end. Since the mouth is the area of discomfort, examining it is likely to
cause more crying and uncooperative behavior for the remainder of the assessment.
A nurse is performing an abdominal assessment of an adult client. Identify the correct
sequence of steps used for this assessment. (CORRECT ORDER)
Inspection
,Palpation
Percussion
Auscultation - ANSWER The appropriate sequence for the nurse to perform the
abdominal assessment is to inspect, auscultate, percuss, and then palpate. This
sequence prevents altering the bowels sounds. The appropriate sequence for any other
assessment for an adult client is inspection, palpation, percussion, and auscultation.
A nurse is teaching a client who has cardiovascular disease how to reduce his intake of
sodium and cholesterol. The nurse understands that the most significant factor in
planning dietary changes for this client is the
A. involvement of the client in planning the change.
B. emphasis the provider places on the dietary changes.
C. financial ability of the client to make the dietary modifications.
D. extent of the dietary changes planned for the client. - ANSWER A. involvement of the
client in planning the change.
A client who is actively involved in planning dietary changes and is more receptive to the
changes and more likely to adhere to them.
While starting an intravenous infusion (IV) for a client, the nurse notices that her gloved
hands get spotted with blood. The client has not been diagnosed with any infection
transmitted via the bloodstream. Which of the following should the nurse do as soon as
the task is completed?
A. Wash the gloved hands and then throw the gloves away.
B. Prepare an incident report so that this occurrence will be documented.
C. Remove the gloves carefully and follow with hand hygiene.
D. Ask the provider to order a blood culture to determine risk. - ANSWER C. Remove the
gloves carefully and follow with hand hygiene.
Standard precautions require the use of gloves and hand hygiene in the care of all
clients.
, A nurse's neighbor is scheduled for elective surgery. The neighbor's provider indicated
that a moderate amount of blood loss is expected during the surgery, and the neighbor
is anxious about acquiring an infection from a blood transfusion. Which of the following
is appropriate for the nurse to suggest?
A. Asking the provider about taking (epoetin) Epogen before the surgery
B. Taking iron supplements prior to the surgery
C. Requesting that a family member donate blood
D. Donating autologous blood before the surgery - ANSWER Donating autologous blood
before the surgery
Autologous blood transfusion is the collection and reinfusion of the client's own blood.
With preoperative autologous blood donation, the blood is drawn from the client 3 to 5
weeks before an elective surgical procedure and stored for transfusion at the time of
the surgery. While blood bank tests greatly reduce the risks of acquiring certain
infectious diseases, these risks can not be eliminated entirely. Autologous blood is the
safest form of blood transfusion; exclusive use of a client's own blood eliminates
exposure to transfusion-transmitted infection.
An assistive personnel (AP) tells the nurse, "I am unable to find a large blood pressure
cuff for a client who is obese. Can I just use the regular cuff if I can get it to stay on?"
The nurse replies that taking the blood pressure of a morbidly obese client with a
regular blood pressure cuff will result in a reading that is
A. inaudible.
B. low.
C. accurate.
D. high. - ANSWER D. high.
Blood pressure cuffs come in various sizes, and the nurse realizes that the correct size
cuff is necessary to obtain a reliable measurement. Blood pressure readings may be
falsely high if the cuff is too small for the client.
And Correct Answers
To use the nursing process correctly, the nurse must first
A. identify the goals for the client's care.
B. obtain information about the client.
C. state the client's nursing care needs.
D. evaluate the effectiveness of the client's care. - ANSWER B. obtain information about
the client.
The scientific application of nursing, the nursing process, is based on the scientific
process. The first step in the scientific process is the collection of data; therefore, the
first step in the nursing process is assessment.
A 3 year old child has had multiple tooth extractions while under general anesthesia.
The client returns from the postanesthesia care crying, but awake, from the recovery
room. Which approach is likely to be successful?
A. Do not examine the mouth.
B. Examine the mouth first.
C. Examine the mouth last.
D. Medicate the child for pain before examining the mouth. - ANSWER C. Examine the
mouth last.
It is always appropriate to leave the most distressing part of a physical examination of a
toddler until the end. Since the mouth is the area of discomfort, examining it is likely to
cause more crying and uncooperative behavior for the remainder of the assessment.
A nurse is performing an abdominal assessment of an adult client. Identify the correct
sequence of steps used for this assessment. (CORRECT ORDER)
Inspection
,Palpation
Percussion
Auscultation - ANSWER The appropriate sequence for the nurse to perform the
abdominal assessment is to inspect, auscultate, percuss, and then palpate. This
sequence prevents altering the bowels sounds. The appropriate sequence for any other
assessment for an adult client is inspection, palpation, percussion, and auscultation.
A nurse is teaching a client who has cardiovascular disease how to reduce his intake of
sodium and cholesterol. The nurse understands that the most significant factor in
planning dietary changes for this client is the
A. involvement of the client in planning the change.
B. emphasis the provider places on the dietary changes.
C. financial ability of the client to make the dietary modifications.
D. extent of the dietary changes planned for the client. - ANSWER A. involvement of the
client in planning the change.
A client who is actively involved in planning dietary changes and is more receptive to the
changes and more likely to adhere to them.
While starting an intravenous infusion (IV) for a client, the nurse notices that her gloved
hands get spotted with blood. The client has not been diagnosed with any infection
transmitted via the bloodstream. Which of the following should the nurse do as soon as
the task is completed?
A. Wash the gloved hands and then throw the gloves away.
B. Prepare an incident report so that this occurrence will be documented.
C. Remove the gloves carefully and follow with hand hygiene.
D. Ask the provider to order a blood culture to determine risk. - ANSWER C. Remove the
gloves carefully and follow with hand hygiene.
Standard precautions require the use of gloves and hand hygiene in the care of all
clients.
, A nurse's neighbor is scheduled for elective surgery. The neighbor's provider indicated
that a moderate amount of blood loss is expected during the surgery, and the neighbor
is anxious about acquiring an infection from a blood transfusion. Which of the following
is appropriate for the nurse to suggest?
A. Asking the provider about taking (epoetin) Epogen before the surgery
B. Taking iron supplements prior to the surgery
C. Requesting that a family member donate blood
D. Donating autologous blood before the surgery - ANSWER Donating autologous blood
before the surgery
Autologous blood transfusion is the collection and reinfusion of the client's own blood.
With preoperative autologous blood donation, the blood is drawn from the client 3 to 5
weeks before an elective surgical procedure and stored for transfusion at the time of
the surgery. While blood bank tests greatly reduce the risks of acquiring certain
infectious diseases, these risks can not be eliminated entirely. Autologous blood is the
safest form of blood transfusion; exclusive use of a client's own blood eliminates
exposure to transfusion-transmitted infection.
An assistive personnel (AP) tells the nurse, "I am unable to find a large blood pressure
cuff for a client who is obese. Can I just use the regular cuff if I can get it to stay on?"
The nurse replies that taking the blood pressure of a morbidly obese client with a
regular blood pressure cuff will result in a reading that is
A. inaudible.
B. low.
C. accurate.
D. high. - ANSWER D. high.
Blood pressure cuffs come in various sizes, and the nurse realizes that the correct size
cuff is necessary to obtain a reliable measurement. Blood pressure readings may be
falsely high if the cuff is too small for the client.
